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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147' <br />CODE-A-PHONE 4::30 PM - 8 00 AM <br /> <br /> I h~t¥e read and a~r¢o to the terms statod on the reverse sido of <br /> th~s document <br /> <br />DATE: 08/29/89 TIBEt 12:14;;32c, <br /> HAM, THOMAS <br /> <br />90222-130 <br /> <br /> 310 8OULDER <br />DETROIT <br /> <br />OR 9?342 <br /> <br />SINGLE FAMILY DWELLING$ <br /> <br />1990 MAPLE AvE NE <br />SALEN, OR 97303 <br />PHONE: 58]--1885 <br /> <br />LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br />OONTF~ACT CITY UGB <br />BETRO I T <br /> <br /> SITE NUMBERs <br /> VALUATION: <br /> <br /> I 10 5E <br />50 OEPfH 100 A~EA 5000,00UNITS SF IRREG MT NO <br /> <br />NO <br /> <br />C]~*TE~OF~Y RESIDENTIAL <br />OCCUPANC'¢ <br /> <br /> ??29 <br /> $1,000,,00 <br /> <br /> )05 <br /> <br />NO <br /> <br />TYPE; 8LIZLOING <br /> <br />CONTRACTOR. NO. <br />HAft1, THC~4AS <br />1990 MAPLE AVE NE <br />SALEM, OR 9?303 <br />PHONE: 581~-1885 <br /> <br />PERMIT OR APPLICATION NO= 9017115 <br /> <br /> ARCHITECT/ENGINEER. NO. <br /> <br /> ITEf~ <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE ? <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE: HAM, THOMAS <br />RECEIVED BY: C] <br /> <br />PHONE: <br /> <br />TOTAL ,~,~SESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $1'7.50 <br /> $11,38 <br /> $9,96 <br /> $0.88 <br /> <br />$38.72 <br /> $0-00 <br />$38.72 <br /> <br />BALANCE DUE $0.00 <br /> <br /> 18193 <br />TYPE: IN CHECK ~: 0 <br /> <br />· '-TBIS-' S-NOT-A-PE*M'IT---T IS APPLICATION MUSt * REWEW *ROCE HE*E THS <br />FOLLON~NG MUST BE COMPLETED. IT IS THE RESPONSZBZLITY OF THE APPLICANT TO ASSURE THAT <br /> <br />ALI,. NECESSARY INFORMATION HAS BEEN PROVIDED_ <br /> <br />SEPTIC: BY ................ DATE <br />Z)NING~ BY DATE SETBACKS; <br /> <br />RENARK~: RE-ROOF ~ PORCH REPAIR <br />HEIGHT: 15 TOTAL SC) FT; 0 STORIES: <br /> <br />CITY JURISDICTION: BY ........ DATE <br /> <br /> LS-____ RS-____ RR- ..... SP-_ .... <br /> PLAN.ACTION: <br /> <br />COrM ~ MC lb~6 MNN ~1'88 OFFL'-,F CO?]' <br /> <br /> <br />